Stacey E Jeffery, BCBA, LBA

Primary specialty

Behavior AnalystTaxonomy code 103K00000X

License

2018041217 Issued in MO

Practice address

1006 Tall Timber Dr
Wentzville, MO 63385-2149

Phone

(314) 803-0461

NPI assigned

Jul 23, 2021

Sex

Female

Sole proprietor

No

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 1

Addresses

Electronic endpoints 1

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1626998400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1626998400000",
    "number": "1730752072",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1006 TALL TIMBER DR",
            "city": "WENTZVILLE",
            "state": "MO",
            "postal_code": "633852149",
            "telephone_number": "314-803-0461"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1006 TALL TIMBER DR",
            "city": "WENTZVILLE",
            "state": "MO",
            "postal_code": "633852149",
            "telephone_number": "314-803-0461"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "JEFFERY",
        "first_name": "STACEY",
        "middle_name": "E",
        "credential": "BCBA, LBA",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2021-07-23",
        "last_updated": "2021-07-23",
        "certification_date": "2021-07-23",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "103K00000X",
            "taxonomy_group": "",
            "desc": "Behavior Analyst",
            "state": "MO",
            "license": "2018041217",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "stacey.jeffery@thriveleyconsultation.com",
            "affiliation": "N",
            "use": "DIRECT",
            "useDescription": "Direct",
            "address_1": "1006 Tall Timber Dr",
            "city": "Wentzville",
            "state": "MO",
            "country_code": "US",
            "postal_code": "633852149",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

• Kimberly A James
• Karlee Elaine Jasinski, M.ED., PLPC
• Omar W Jassim, MD, PHD
• Jay Hauptman D.C. P.C.
• Kristen Elaine Jeans, ATC, LMT
• Timothy Jenkins, LCSW
• Jennifer Blei, D.C., LLC
• Laura L Jennings, RPH
• Diane Marie Jessen, O.D.
• Nathan M Johannsson, DDS

• Behavior Analyst in Wentzville, MO
• Providers in Wentzville, MO by specialty
• Behavior Analyst in Missouri

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 23, 2021; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.